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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Medical and Clinical Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

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Lead, Clinical Support Coordinator (LHI) - La Crosse, WI

UHG - La Crosse, Wisconsin

Posted: 10/29/2018

At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone

LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans.

By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.

LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.

Primary Responsibilities:

  • Assist Clinical Operations Leadership Team in monitoring of all daily tasks completed within the Clinical Operations Department.
  • Provide guidance to staff regarding electronic processing of medical information within an internal database.
  • Perform QA of various medical services.
  • Evaluate and approve medical order requests and determine appropriate Disability Benefit
  • Questionnaires (DBQs) to assign for identified health conditions indicated on order requests
  • per the contract requirements.
  • Ongoing communication within Clinical Operations Department and other LHI departments to ensure claims files are received timely.
  • Effectively complete bookmarking for medical claims file.
  • Communicate with a diverse group of people/disciplines while serving as a point of contact (POC) for internal and external entities.
  • Monitor, manage and prioritize all Clinical Operations order related tasks for this role to facilitate controlled workflow to meet or exceed contractual requirements.

Required Qualifications:
  • High School Diploma / GED (or higher)
  • Vocational or technical education: Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Medic, Medical Assistant (MA) or Corpsman, or completion of the Clinical Upskilling program
  • 1+ years experience in a clinical setting or clinical operations role
  • Proficient in Microsoft Excel (general spreadsheet navigation, data entry and sorting)
  • Knowledge of medical documentation and medical terminology
  • Must be able to work a shift schedule from Wednesday - Saturday from 7:30am to 6:00pm
Preferred Qualifications:
  • 1+ years leadership and/or lead experience in a clinical setting or clinical operations role
  • Occupational health and behavioral health experience
  • Database education/experience
  • ICD coding experience
  • Experience reporting statistical data
Soft Skills:
  • Excellent verbal and written communication skills along with the ability to work with a diverse group of people/disciplines at all levels of the organization
  • Strong organizational and time management skills, as well as detail-oriented work with a high level of accuracy and ability to work independently
  • Proven ability to prioritize projects, meet critical deadlines; and multi-task while working in a fast-paced environment
Careers with LHI. Our focus is simple. We’re innovators in cost-effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity to do your life’s best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group
is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: LHI, La Crosse, WI, LPN, Licensed Vocational Nurse, LVN, Medic, Medical Assistant, MA, Corpsman, Clinical Upskilling, Clinical, Clinical Operations, Medical Terminology

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